NPI | 1518901487 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9212) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038011304) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2024-11-12 |